|
| |
|
684 N Mount Juliet Rd Mount Juliet TN 37122-3323 | |
| (615) 758-6800 | |
| (615) 758-8419 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 684 N Mount Juliet Rd, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Larry Wayne Lafever (PRESIDENT) |
| Authorized Official Contact | 6157586800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
684 N Mount Juliet Rd Mount Juliet TN 37122-3323 Ph: (615) 758-6800 | 684 N Mount Juliet Rd Mount Juliet TN 37122-3323 Ph: (615) 758-6800 |
| NPI Number | 1447352372 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447352372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS0000004058 (Tennessee) | Primary |
Zac Berry Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E. Hill St., Mount Juliet, TN 37122 Phone: 615-758-2085 | |
West Wilson Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E Hill Dr, Suite B, Mount Juliet, TN 37122 Phone: 615-773-1150 Fax: 615-773-1110 | |
Simply Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2788 N. Mt. Juliet, Mount Juliet, TN 37122 Phone: 615-758-4746 | |